Individual
MAHMOD FATHI EL-TAYASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
122 4TH AVE, GRINNELL, IA 50112-1829
(641) 236-4323
Mailing address
122 4TH AVE, GRINNELL, IA 50112-1829
(641) 236-4323
(641) 236-3411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0089645
MD
208600000X
Surgery Physician
Primary
MD-48955
IA
Other
Enumeration date
06/25/2014
Last updated
12/22/2021
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